How to treat redness of the baby's external genitalia

Patient's question:

My daughter is just one year old and was examined when she was 8 months old. The doctor said her vulva was red and she had vulvitis. They recommended using traditional Chinese medicine rinse for the baby, but the effect was not very ideal. Now the baby's vulva is still very red, and I worry that washing her too much might not be good either. The child's grandmother said she has a lot of "fire" (internal heat), so we gave her a lot of water, but the vulva is still red. Please help the experts, how should we wash the little girl, what medicine should we use, and can we skip washing?
Worried Mom

Doctor's answer:

Hello, for a child's condition, it is likely caused by inflammation. You can use potassium permanganate for sitz baths and apply some erythromycin. Pay attention to hygiene and rinse with clean water; it usually gets better! It is recommended to frequently rinse the affected area. Local redness indicates inflammation. Make sure to maintain good personal hygiene for the baby, wash the little buttocks every night, and clean the perineum after each bowel movement. If the child drinks too little water or has poor sleep, it may lead to "internal heat" (), causing redness in the labia. Encourage the child to drink more boiled water and avoid getting overheated.

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